This article is the third in a series aiming to simulate a viva scenario in the Intercollegiate FRCS Examination in Otolaryngology. The exam has evolved over the years and questions are now structured to ensure fairness across the board. All candidates will be asked the same opening questions and then discussion around the subject will continue in order to probe your depth of knowledge. If you are struggling with the introductory question for any reason there would usually be a recovery question to give you the chance get started. If you have answered questions well the discussion will move on to advanced questions which will be assessing whether you warrant more than a basic pass mark.